5409 S 2ND AVE 2020-06-15 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/ PLUMBING 1 SIGN /SPRINKLER/DEMOLITION vy CITY OF EVERETT PERMIT SERVICES g� w 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 i(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: ,€"j o q I k et A V -- , PROPERTY TAX#: LEGAL for new construction: Short Flat/subdivision_ nj •2 �Vi i• (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: (7--,rg yty .57 PYA mf..� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET !'2-1/ l (1 7 T4 5 "?` 5 C CITY 5140A t4) ,s 6_ (STATE 4 ZIP -L �f - OWNER PHONE: I ..2. $02„ - V 3 c ;4' OWNER EMAIL: j al' 4 d reg. 4,46,g 0 ` -i4cv , C.CV4t CONTRACTOR NAME: S j)e ct go .- t 9j A , a C-, . p CONTRACTOR ADDRESS: STREET y/ 5'"7 31 ri ce i2 ( , tom/ cITY c-Y 4 A tve)(14 - STATE tlCit v ZIP Q F'7 CONTRACTOR PHONE: 25" 7t j- '"'"7 70 3 CONTRACTOR EMAIL: ®gv,sEL i.-e 6"pe e%/rtvc,1grAC, A)el--- CONTRACTOR LICENSE#(REQUIRED): 7 P,ee_cL/ rt P CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): rj 7 Cf q PRIMARY CONTACT: 0 OWNER V,CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: 0 a, 6 f-/L,/ CONTACT PHONE 14755 ,. Lj 6 3 ��j 2 6i / CONTACT EMAIL: do 9 '?ear c-csog40' I CIG , Ui e7"- BUILDING PERMIT APPLICATION c“-x. Use of Building: Contract Price of Work:$ 7 ?C v Proposed Use of Building: Heat Source: ❑Gas ❑Electric DOther Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial 0 Industrial Type of Project: CI New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ,-- e F.e n'vO ve. � . 57--,, IA7 r o 0 2 q40,-- rtf (i c .e cv , -r GI ASSOCIATED BUILDING PERMIT#(if applicable): 'v l) II"'OO l MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater , Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust.Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I No. of Heads • ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with current federal,state,and local law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, 'and I corn.. with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only it P.. -c I q -( g PERMITlic6V-• Oil Owner/Authorized Agent Signature Date (Revised 9/23/2016)